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It sounds like there is a common thread of inflammation / autoimmune aspects over the couple of posts I have read through regarding your wrist issues.

Out of curiosity, have you experimented with your diet? I only ask because I haven't seen you mention this.

There is a huge area of nutrition dealing with how modern processed foods causes inflammation, doesn't have certain needed stuff, etc. A few books that have been helpful to me: AntiCancer by Dr. Servan-Schreiber and Nourishing Traditions by Sally Fallon Morell.

Potentially there is some exacerbating inflammatory factor at play here?

 

P.S. - I also wound up with a non-standard mouse configuration over the years for similar wrist pain issues.

I currently use a Kensington Orbit trackball (I like the scroll ring) with my left hand, and an AutoHotkey script which remaps Print Screen [left], Scroll Lock [middle], and Pause [right] clicks. Bonus: it handles button holds also, so dragging is no problem. I also added CapsLock + J,K,L,; as my own version of the Vim cursor movements, plus a couple others for Home/End [U, I], Windows desktop switching [O, P], etc.

For Mac there is a program called Karabiner-Elements which can do the same things.